Telligen
Senior Review Coordinator - Utilization Management (RN)
West Des Moines, IA · Senior
No sponsorshipDetected 1 day ago
Code ReviewResearchMentoring
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16Unrated
Cap-exempt (no lottery)0
Sponsors this role0
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70
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About the role
- This position will be responsible for conducting utilization review/medical management for all services including training/mentoring other team members and performing preliminary research on requested topics.
- Over our 50-year history, health care has evolved - and so have we.
- What hasn't changed is our deep commitment to those we serve.
Responsibilities
- Documents review and special project results in workflow documentation system, ensuring data is accurate and timely.
- Performs miscellaneous duties as assigned.
- Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
- Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.
- Being a responsible corporate partner is part of who we are.
Requirements
- Required Skills and Experience
Nice to have
- Preferred Skills and Experience
Benefits
- Perform prospective, concurrent or retrospective utilization review/medical management for all services including appropriateness of quality of care based on contract, state, or URAC requirements.
- Performs preliminary research on topics such as experimental or cosmetic services, coverage determinations, coding or standards of care.
- Who We Are: Telligen is one of the most respected population health management organizations in the country.
- We offer clinical, analytical, and technical expertise to support local, Tribal, and national partners, state and federal government programs, and employers and health plans.
- Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and help shape the future of health.
- We're on a mission to transform lives and economies by improving health.
Company info
- Telligen is one of the most respected population health management organizations in the country.
- Are you Ready?
- Community: We show up - for our clients, our communities and each other.
- Ingenuity: We value bold ideas and calculated risks.
- Innovation thrives when we challenge the status quo and listen to diverse perspectives.
- Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence.
Equal opportunity
- Equal Opportunity Employers and E-Verify Participants.
- equal opportunity employer.
Visa & Work Authorization
- Telligen will not provide sponsorship for this position.
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This listing is sourced directly from Telligen's careers page and normalized into a canonical job model.